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General NPI Number Information
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NPI Number | 1295647717
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Entity Type | Individual
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Provider Name | KENNETH CALDWELL
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Gender | Male
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 1040 WHITTIER HWY
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City | MOULTONBOROUGH
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State | NH
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Zip | 03254-3361
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Country | US
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Telephone | 203-218-7410
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Fax |
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Provider Business Mailing Address
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Address Line | 1064 TURKEY ST
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City | TAMWORTH
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State | NH
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Zip | 03886-4613
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 375
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License Number State | NH
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